ALLIED DENTAL CLINIC PC NPI 1790999407

NPI Information

NPI: 1790999407
Provider Name: ALLIED DENTAL CLINIC, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1246 YELLOWSTONE AVE STE B3
POCATELLO, ID
ZIP 83201
Phone: (208) 237-0563
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ALLIED DENTAL CLINIC, PC is a general practice dentist in Pocatello, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ALLIED DENTAL CLINIC, PC NPI is 1790999407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1246 YELLOWSTONE AVE STE B3
POCATELLO, ID
ZIP 83201-372
Phone: (208) 237-0563

The provider's authorized official is Randall C Snow .
The authorized official title is Owner and has the following contact phone number (208) 237-0563.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D3171	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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